| NPI | 1770773467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE A MAWBY President 239-283-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 089334) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 089334) |
| 385H00000X Respite Care (Licence: FL 089334) | |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2007-07-28 |